Southern Oral Surgery & Implant Specialists PC
NPI 1073496253ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Augusta, GA
Dentist, Oral and Maxillofacial Surgery in Augusta, Georgia, registered in NPPES in July 2025. The authorized official on file is Claire D. Shivers, Practice Administrator.
Overview
| NPI | 1073496253 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2025 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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